Organization
JOSE E. GALLEGOS, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY L HAYNES (FINANCIAL COORDINATOR)
(804) 739-9830
Entity
Organization
Contact information
Practice address
13861 HULL STREET RD, SUITE 200, MIDLOTHIAN, VA 23112-2003
(804) 739-9190
(804) 739-9543
Mailing address
5424 SUNRISE BLUFF CT, MIDLOTHIAN, VA 23112-2516
(804) 739-4972
(804) 739-9543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007260
VA
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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